| NPI | 1003261991 |
|---|---|
| Other Name | WITC |
| Entity Type | Organization |
| Authorized Contact | SUSAN HOUCK STROM Ex. Director 310-722-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60474081) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |